Fuller, Andrea

Fuller, Andrea is an individual health care provider with primary practice located at 25 N Winfield Road , Winfield IL 60190. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fuller, Andrea can be contacted via phone (630) 933-1600.

Contact Information

Primary practice address
25 N Winfield Road Winfield IL 60190
Phone: (630) 933-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209008666 Illinois

Profile Details

NPI number 1174821201
LBN Legal business name Fuller, Andrea
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2011
Last updated Mar 7th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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